Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Berwick › NPI 1316919699
Hospital

Berwick Hospital Company LLC

Berwick Hospital Company LLC was paid $479K by Medicaid between Dec 2019 and Sep 2022, across 61 billing codes. Its largest line is 99283, emergency room visit (moderate) — 27% of everything it billed.

33Billing provider infoBERWICK HOSPITAL COMPANY LLC
BERWICK, PA 18603
33aNPI1316919699assigned 02/02/2006
28Total paid$479K
24GClaims19,504
24DCodes billed61
24AFirst – last monthDec 2019 – Sep 2022
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#110 of 154
Median peer was paid$2.82M
This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201912$395.00
20202,588$60K
202113,978$315K
20222,926$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 27% 2,211 2,151 $132K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 1,296 1,249 $92K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5.1% 678 655 $24K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 4.3% 290 284 $20K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.6% 210 203 $17K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.3% 215 210 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.3% 200 185 $16K
80053 Comprehensive metabolic panel 3.2% 1,490 1,427 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.2% 385 380 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.6% 422 405 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.4% 2,320 2,141 $12K
84443 Thyroid stimulating hormone (TSH) 2.2% 478 475 $10K
49 more codes
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2.0% 23 $10K
70450 Computed tomography, head or brain; without contrast material 2.0% 167 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 349 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.5% 638 $7K
80061 Lipid panel 1.2% 436 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 222 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 616 $4K
96361 Intravenous infusion, hydration; each additional hour <1% 209 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 523 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 306 $4K
71046 Radiologic examination, chest; 2 views <1% 244 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 162 $3K
84703 <1% 328 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 375 $2K
84484 <1% 339 $2K
93970 <1% 27 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 25 $2K
81003 <1% 721 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 231 $1K
84439 <1% 186 $1K
83735 <1% 267 $1K
71045 Radiologic examination, chest; single view <1% 203 $1K
83690 <1% 242 $1K
85610 <1% 327 $935.06
82150 <1% 156 $727.07
85730 <1% 140 $690.35
83880 <1% 30 $572.68
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 13 $519.61
J7030 Infusion, normal saline solution , 1000 cc <1% 217 $479.99
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 50 $439.43
36415 Collection of venous blood by venipuncture <1% 340 $415.81
73630 <1% 40 $411.30
73610 <1% 24 $396.12
85027 <1% 57 $355.80
87077 <1% 74 $352.79
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 422 $327.38
80076 <1% 40 $315.24
73564 <1% 14 $288.08
85379 <1% 32 $256.53
84481 <1% 12 $246.97
87040 <1% 22 $147.00
87186 <1% 27 $141.13
81005 <1% 46 $134.27
87070 <1% 16 $92.85
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 303 $63.56
85651 <1% 13 $40.50
J2704 Injection, propofol, 10 mg <1% 15 $32.64
82962 <1% 28 $18.70
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12 $6.11

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
Same official

Other billing entities under LALOR, PAULA

Full network →
ProviderLocationPaid
Northwest Hospital LLCTucson, AZ$47.81M
Roswell Hospital CorporationRoswell, NM$41.27M
Wesley Health System LLCHattiesburg, MS$37.82M
Metro Knoxville Hma LLCPowell, TN$28.70M
Bullhead City Hospital CorporationBullhead City, AZ$28.54M
Iom Health System LPFort Wayne, IN$27.50M
ST. Joseph Health System, LLCFort Wayne, IN$25.43M
Laredo Texas Hospital Company LPLaredo, TX$19.46M
Oak Hill Hospital CorporationOak Hill, WV$18.77M
Cocke County Hma, LLCNewport, TN$18.34M
Cleveland Tennessee Hospital Company LLCCleveland, TN$16.31M
Jefferson County Hma LLCJefferson City, TN$14.31M
Northwest Arkansas Hospitals, LLCSpringdale, AR$11.46M
Petersburg Hospital Company LLCPetersburg, VA$11.20M
Campbell County Hma, LLCLafollette, TN$10.07M
Warsaw Health System LLCWarsaw, IN$9.95M
Longview Medical Center LPLongview, TX$9.29M
Moberly Hospital Company LLCMoberly, MO$8.61M
Crestview Hospital Company, LLCCrestview, FL$8.15M
Kirksville Missouri Hospital Company, LLCKirksville, MO$7.98M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.